The University of Melbourne, Melbourne, Australia.
J Interpers Violence. 2013 Jan;28(2):273-94. doi: 10.1177/0886260512454722. Epub 2012 Aug 27.
Intimate partner violence (IPV) has major affects on women's wellbeing. There has been limited investigation of the association between type and severity of IPV and health outcomes. This article describes socio-demographic characteristics, experiences of abuse, health, safety, and use of services in women enrolled in the Women's Evaluation of Abuse and Violence Care (WEAVE) project. We explored associations between type and severity of abuse and women's health, quality of life, and help seeking. Women (aged 16-50 years) attending 52 Australian general practices, reporting fear of partners in last 12 months were mailed a survey between June 2008 and May 2010. Response rate was 70.5% (272/386). In the last 12 months, one third (33.0%) experienced Severe Combined Abuse, 26.2% Physical and Emotional Abuse, 26.6% Emotional Abuse and/or Harassment only, 2.7% Physical Abuse only and 12.4% scored negative on the Composite Abuse Scale. A total of 31.6% of participants reported poor or fair health and 67.9% poor social support. In the last year, one third had seen a psychologist (36.6%) or had 5 or more general practitioner visits (34.3%); 14.7% contacted IPV services; and 24.4% had made a safety plan. Compared to other abuse groups, women with Severe Combined Abuse had poor quality of life and mental health, despite using more medications, counseling, and IPV services and were more likely to have days out of role because of emotional issues. In summary, women who were fearful of partners in the last year, have poor mental health and quality of life, attend health care services frequently, and domestic violence services infrequently. Those women experiencing severe combined physical, emotional, and sexual abuse have poorer quality of life and mental health than women experiencing other abuse types. Health practitioners should take a history of type and severity of abuse for women with mental health issues to assist access to appropriate specialist support.
亲密伴侣暴力（IPV）对女性的健康有重大影响。对于 IPV 的类型和严重程度与健康结果之间的关联，研究还很有限。本文描述了参加妇女评估虐待和暴力护理（WEAVE）项目的妇女的社会人口统计学特征、虐待经历、健康、安全和服务使用情况。我们探讨了虐待的类型和严重程度与妇女健康、生活质量和寻求帮助之间的关联。2008 年 6 月至 2010 年 5 月，在澳大利亚 52 家普通诊所就诊、报告过去 12 个月内对伴侣感到恐惧的 16-50 岁女性邮寄了一份调查问卷。回复率为 70.5%（272/386）。在过去的 12 个月中，三分之一（33.0%）的女性经历了严重的综合虐待，26.2%的女性经历了身体和情感虐待，26.6%的女性仅经历了情感虐待和/或骚扰，2.7%的女性仅经历了身体虐待，12.4%的女性在综合虐待量表上的得分呈阴性。共有 31.6%的参与者报告健康状况不佳或一般，67.9%的参与者社会支持较差。在过去的一年中，三分之一的人看过心理学家（36.6%）或看过 5 次或更多次全科医生（34.3%）；14.7%的人联系过 IPV 服务；24.4%的人制定了安全计划。与其他虐待组相比，尽管严重综合身体、情感和性虐待的女性使用了更多的药物、咨询和 IPV 服务，并且由于情绪问题而缺勤的天数更多，但她们的生活质量和心理健康状况较差。总之，过去一年中对伴侣感到恐惧的女性，心理健康和生活质量较差，经常去看医疗保健服务，但很少去家庭暴力服务。与经历其他虐待类型的女性相比，经历严重综合身体、情感和性虐待的女性生活质量和心理健康状况更差。医疗保健从业者应为有心理健康问题的女性提供虐待类型和严重程度的病史，以帮助她们获得适当的专科支持。
